Theriot Family Dental

Patient Forms

Our team at Theriot Family Dental Care is committed to helping our patients feel prepared, informed, and welcomed before ever visiting Dr. Theriot and his associates. We have provided our New Patient Forms so that you can fill them out before your visit, saving you time by accelerating the check-in process. If applicable, please bring your insurance card with you. You can also talk to our friendly staff about any questions regarding our patient form when you come in or by calling (337) 984-3408. Contact us today to schedule your appointment with our dentists!

Online New Patient Forms

Please note, we only accept Medicaid at our satellite office for children.